Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,239.79 / $8,878.56 / $20,400.00	Facility		$2,239.79	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,616.77 / $1,998.91 / $2,409.63	Professional		$1,616.77	$1,998.91	$2,409.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,194.53 / $1,517.76 / $2,844.37	Facility		$1,194.53	$1,517.76	$2,844.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,397.30 / $1,932.28 / $2,041.36	Facility		$1,397.30	$1,932.28	$2,041.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,280.67 / $2,117.82 / $7,339.00	Facility		$1,280.67	$2,117.82	$7,339.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,391.79 / $11,115.96 / $14,408.62	Facility		$8,391.79	$11,115.96	$14,408.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00